Independent variables | n (%)b | Bivariate OLS regression | Full multivariate OLS regression (N = 803)c | ||
---|---|---|---|---|---|
Beta | 95 % CI | Beta | 95 % CI | ||
I. SOCIO-DEMOGRAPHIC CHARACTERISTICS | |||||
Sex: | |||||
Male | 631 (77.8) | Ref | - | Ref | - |
Female | 180 (22.2) | 1.72 | (−0.62 ; 4.06) | −3.25 | (−5.61 ; −0.88) |
Age (median = 32 y.o): | |||||
Less than 32 y.o. | 397 (49.0) | Ref | - | Ref | - |
32 y.o. or older | 414 (51.0) | −5.21 | (−7.27 ; −3.14) | −4.81 | (−6.69 ; −2.93) |
Education: | |||||
Primary or basic | 62 (7.6) | Ref | - | Ref | - |
Secondary, vocational or at least some higher | 749 (92.4) | 7.37 | (2.89 ; 11.84) | 3.54 | (−0.61 ; 7.68) |
Main source of income: | |||||
Legal source | 677 (83.5) | Ref | - | Ref | - |
Illegal source | 134 (16.5) | −3.27 | (−5.78 ; −0.76) | −0.35 | (−2.75 ; 2.05) |
Level of income: | |||||
Coping well | 245 (30.2) | Ref | - | Ref | - |
Coping is difficult (or very difficult) | 566 (69.8) | −8.99 | (−11.18 ; −6.80) | −3.86 | (−6.00 ; −1.73) |
Living arrangements: | |||||
Someone else’s house | 274 (33.8) | Ref | - | Ref | - |
Owned or rented place | 512 (63.1) | −3.24 | (−5.35 ; −1.13) | 1.73 | (−0.33 ; 3.79) |
Shelter/no fixed place | 25 (3.1) | −5.00 | (−10.80 ; 0.81) | 0.97 | (−4.74 ; 6.69) |
Marital status:d | |||||
Not married | 554 (68.4) | Ref | - | Ref | - |
Married | 256 (31.6) | −0.21 | (−2.55 ; 2.13) | −0.96 | (−3.40 ; 1.49) |
II. ALCOHOL AND DRUG USE | |||||
Alcohol abuse using CAGE scale: | |||||
CAGE = 0–1 | 274 (33.9) | Ref | - | Ref | - |
CAGE = 2-4 | 534 (66.1) | −10.10 | (−12.20 ; −8.00) | −1.76 | (−4.00 ; 0.47) |
Age of first drug use (cannabis excluded; median = 16 y.o.): | |||||
17 y.o. or older | 280 (34.5) | Ref | - | Ref | - |
16 y.o. or younger | 531 (65.5) | −6.64 | (−8.70 ; −4.58) | −3.38 | (−5.47 ; −1.30) |
Main drug of use: | |||||
(Meth)-amphetamines | 27 (3.3) | Ref | - | Ref | - |
Methadone/Fentanyl | 221 (27.3) | −6.92 | (−11.80 ; −2.04) | 1.43 | (−3.51 ; 6.37) |
Heroin | 563 (69.4) | −14.74 | (−19.39 ; −10.08) | 0.87 | (−4.01 ; 5.74) |
Poly-drug use in the last 4 weeks:e | |||||
Injected 1 class of drugs | 697 (85.9) | Ref | - | Ref | - |
Injected 2 or more classes of drugs | 114 (14.1) | −6.15 | (−9.08 ; −3.22) | −3.62 | (−6.38 ; −0.87) |
Frequency of injecting drugs (days during the last 4 weeks; median = 20): | |||||
19 days or less | 337 (41.6) | Ref | - | Ref | - |
20 days or more | 474 (58.4) | −8.37 | (−10.49 ; −6.25) | −1.39 | (−3.88 ; 1.09) |
Frequency of injecting drugs (times per day; median = 1): | |||||
One | 437 (54.0) | Ref | - | Ref | - |
Two or more | 372 (46.0) | −7.69 | (−9.79 ; −5.60) | −0.40 | (−2.61 ; 1.80) |
Used non-sterile injecting equipment at least once in the last 4 weeks: | |||||
No (or don’t know) | 344 (42.4) | Ref | - | Ref | - |
Yes | 467 (57.6) | −10.54 | (−12.59 ; −8.50) | −2.05 | (−4.41 ; 0.30) |
Ever used non-sterile injecting equipment: | |||||
No | 79 (9.7) | Ref | - | Ref | - |
Yes | 732 (90.3) | −10.94 | (−14.08 ; −7.81) | −0.55 | (−4.13 ; 3.04) |
Getting sterile injecting equipment (any unused syringes in last 4 weeks): | |||||
No | 46 (5.7) | Ref | - | Ref | - |
Yes | 765 (94.3) | 9.12 | (4.77 ; 13.48) | −0.97 | (−5.14 ; 3.20) |
Ever overdosed: | |||||
No | 284 (35.0) | Ref | - | Ref | - |
Yes | 527 (65.0) | −6.58 | (−8.75 ; −4.42) | 0.10 | (−2.12 ; 2.32) |
III. MENTAL HEALTH | |||||
Mental health problems score: | |||||
Lower score on mental health problems | 427 (52.7) | Ref | - | Ref | - |
Higher score on mental health problems | 384 (47.3) | −9.27 | (−11.28 ; −7.26) | −2.61 | (−4.85 ; −0.38) |
IV. SEXUAL RISK | |||||
Sexually active in the last 6 months: | |||||
No | 188 (23.2) | Ref | - | Ref | - |
Yes | 623 (76.8) | 1.75 | (−0.73 ; 4.23) | 0.91 | (−1.69 ; 3.52) |
Involved in sexual work in the last 6 months: | |||||
No | 757 (93.3) | Ref | - | Ref | - |
Yes | 54 (6.7) | −0.16 | (−3.35 ; 3.03) | 2.80 | (−1.05 ; 6.66) |
Paid for sex in the last 6 months: | |||||
No | 748 (92.2) | Ref | - | Ref | - |
Yes | 63 (7.8) | 7.80 | (4.65 ; 10.95) | 2.25 | (−1.11 ; 5.60) |
Condom use during the last sexual intercourse: | |||||
Yes | 378 (46.6) | Ref | - | N/A | - |
No | 238 (29.3) | −0.79 | (−3.29 ; 1.72) | ||
Don’t know | 195 (24.0) | −2.44 | (−5.11 ; 0.24) | ||
HIV and Hepatitis C status of primary sexual partner: | |||||
HIV and HCV negative or unknown | 155 (19.1) | Ref | - | Ref | - |
Known to be HIV or HCV positive | 218 (26.9) | −11.09 | (−14.14 ; −8.04) | −1.98 | (−5.05 ; 1.09) |
No primary partner in the last 6 months | 438 (54.0) | −8.23 | (−11.00 ; −5.47) | −2.02 | (−5.04 ; 1.00) |
V. INFECTIOUS DISEASES HISTORY AND STATUS | |||||
Ever been tested for HIV: | |||||
No (or don’t know) | 52 (6.4) | Ref | - | Ref | - |
Yes | 759 (93.6) | −1.95 | (−6.04 ; 2.13) | 3.63 | (−0.58 ; 7.84) |
HIV status awareness: | |||||
Result of the most recent HIV test is negative, unknown or never tested | 428 (52.8) | Ref | - | N/A | - |
Result of the most recent HIV test is positive | 383 (47.2) | −9.71 | (−11.74 ; −7.68) | ||
HIV status (based on study testing): | |||||
Negative | 359 (44.3) | Ref | - | Ref | - |
Positive | 452 (55.7) | −9.20 | (−11.26 ; −7.15) | −2.71 | (−6.55 ; 1.13) |
Receiving regular HIV care: | |||||
HIV-negative or unaware | 428 (52.8) | Ref | - | Ref | - |
HIV+; receives regular HIV care | 125 (15.4) | −0.87 | (−3.41 ; 1.67) | 1.46 | (−3.05 ; 5.98) |
HIV+; does not receive regular HIV care | 258 (31.8) | −13.77 | (−15.95 ; −11.59) | −4.32 | (−8.36 ; −0.28) |
Tuberculosis history awareness: | |||||
No (or don’t know) | 757 (93.3) | Ref | - | Ref | - |
Yes | 54 (6.7) | −7.46 | (−11.15 ; −3.76) | −3.32 | (−6.43 ; −0.22) |
Hepatitis C history awareness: | |||||
No | 126 (15.5) | Ref | - | N/A | - |
Yes | 685 (84.5) | −10.13 | (−13.02 ; −7.23) | ||
Treatment of Hepatitis C: | |||||
Never diagnosed with HCV | 126 (15.5) | Ref | - | Ref | - |
HCV+, never been offered treatment | 591 (72.9) | −11.09 | (−14.00 ; −8.17) | −4.56 | (−7.62 ; −1.50) |
HCV+, was offered treatment, but did not receive it | 50 (6.2) | −7.45 | (−12.58 ; −2.32) | −7.37 | (−12.75 ; −1.99) |
HCV+, was offered treatment and received it | 44 (5.4) | −0.27 | (−4.53 ; 3.98) | −2.02 | (−6.80 ; 2.76) |
Hepatitis B history awareness: | |||||
No | 401 (49.4) | Ref | - | Ref | - |
Yes | 410 (50.6) | −9.31 | (−11.29 ; −7.34) | −0.05 | (−2.36 ; 2.25) |
Ever vaccinated against Hepatitis B: | |||||
No (or don’t know) | 525 (64.7) | Ref | - | Ref | - |
Yes (at least one dose) | 286 (35.3) | 7.29 | (5.07 ; 9.50) | 1.63 | (−0.74 ;4.00) |
VI. CONTACT WITH TREATMENT SERVICES AND PRISON | |||||
History of incarceration: | |||||
No | 537 (66.2) | Ref | - | Ref | - |
Yes | 274 (33.8) | −2.41 | (−4.64 ; −0.18) | −1.49 | (−3.40 ; 0.42) |
Having basic medical insurance: | |||||
No | 156 (19.3) | Ref | - | Ref | - |
Yes | 654 (80.7) | 2.39 | (−0.40 ; 5.17) | 1.46 | (−1.06 ; 3.98) |
Receiving any healthcare services in the last 12 months: | |||||
Received | 546 (67.3) | Ref | - | Ref | - |
Not received | 265 (32.7) | −3.00 | (−5.32 ; −0.68) | −1.46 | (−3.56 ; 0.64) |
Ever received drug abuse treatment: | |||||
No | 229 (28.2) | Ref | - | N/A | - |
Yes | 582 (71.8) | −5.79 | (−8.15 ; −3.43) | ||
Receiving detoxification services in the last 6 months: | |||||
Did not need detox services | 646 (79.7) | Ref | - | Ref | - |
Needed, but did not receive detox | 99 (12.2) | −10.74 | (−14.12 ; −7.35) | −5.39 | (−9.00 ; −1.78) |
Needed and received detox | 66 (8.1) | −4.00 | (−8.04 ; 0.04) | −4.82 | (−7.96 ; −1.67) |
Ever had difficulties obtaining drug abuse treatment: | |||||
Never received treatment (or don’t know) | 233 (28.7) | Ref | - | Ref | - |
Had no difficulties | 482 (59.4) | −4.44 | (−6.89 ; −1.99) | 1.26 | (−0.93 ; 3.45) |
Had difficulties | 96 (11.8) | −10.56 | (−13.92 ; −7.20) | −0.74 | (−4.14 ; 2.66) |
Had difficulties obtaining medical care because of drug use: | |||||
No (or don’t know) | 764 (94.2) | Ref | - | Ref | - |
Yes | 47 (5.8) | −5.10 | (−9.48 ; −0.73) | −4.22 | (−8.21 ; −0.22) |
VII. STIGMA, DISCLOSURE AND POLICE HARASSMENT | |||||
Ever experienced police confiscate syringes: | |||||
No | 599 (73.9) | Ref | - | Ref | - |
Yes | 212 (26.1) | −6.00 | (−8.41 ; −3.59) | −0.48 | (−3.02 ; 2.06) |
PWID status disclosure to family/friends:f | |||||
Rather disclosed | 420 (51.8) | Ref | - | Ref | - |
Rather did not disclose | 391 (48.2) | −7.06 | (−9.10 ; −5.01) | −0.65 | (−2.78 ; 1.48) |
PWID status disclosure to a healthcare provider:g | |||||
Rather disclosed | 278 (34.3) | Ref | - | Ref | - |
Rather did not disclose | 533 (65.7) | 3.83 | (1.67 ; 5.99) | −0.16 | (−2.51 ; 2.19) |
Internalized PWID stigma:h | |||||
Low | 417 (51.4) | Ref | - | Ref | - |
High | 394 (48.6) | −9.14 | (−11.15 ; −7.13) | −3.68 | (−5.92 ; −1.44) |
PWID stigma consciousness:h | |||||
Low | 343(42.3) | Ref | - | Ref | - |
High | 468 (57.7) | −1.68 | (−3.81 ; 0.45) | 1.52 | (−0.52 ; 3.56) |